Clerkship Grading, USMLE Step 1, and Student Distinction: A CERA Study

This study investigates family medicine clerkship directors' perceptions of how the transition to pass/fail scoring for USMLE Step 1 affects students' ability to distinguish themselves in the residency application process. The findings reveal that while most directors believe students can still differentiate themselves, there is a significant increase in student stress, with many directors expressing concerns about the adequacy of current grading methodologies. The results highlight the need for improved assessment strategies and clearer communication regarding student qualifications.